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强化化疗是老年急性髓性白血病患者的首选治疗方法。

Intensive chemotherapy is the treatment of choice for elderly patients with acute myelogenous leukemia.

作者信息

Foon K A, Zighelboim J, Yale C, Gale R P

出版信息

Blood. 1981 Sep;58(3):467-70.

PMID:6942845
Abstract

One-hundred and seven patients with acute myelogenous leukemia (AML) ranging in age from 15 to 82 yr who were previously untreated, received a 70 day high-dose remission induction regimen consisting of daunorubicin, cytarabine, and thioguanine (TAD). Identical complete remission rates of 65% were observed for 33 patients 60 yr of age and older and for 74 patients age 15-59 yr. Median remission duration and survival were 14 mo and 22 mo for patients 60 yr and older, and 16 mo and 22 mo for patients 15-59 yr. These differences are not significant. These data indicate that older patients respond to intensive chemotherapy in a similar manner to younger patients with this disease.

摘要

107例年龄在15至82岁之间、既往未接受过治疗的急性髓性白血病(AML)患者接受了为期70天的高剂量缓解诱导方案,该方案由柔红霉素、阿糖胞苷和硫鸟嘌呤(TAD)组成。60岁及以上的33例患者和15至59岁的74例患者的完全缓解率均为65%。60岁及以上患者的中位缓解持续时间和生存期分别为14个月和22个月,15至59岁患者的中位缓解持续时间和生存期分别为16个月和22个月。这些差异不显著。这些数据表明,老年患者对强化化疗的反应与患有这种疾病的年轻患者相似。

相似文献

1
Intensive chemotherapy is the treatment of choice for elderly patients with acute myelogenous leukemia.强化化疗是老年急性髓性白血病患者的首选治疗方法。
Blood. 1981 Sep;58(3):467-70.
2
Intensive chemotherapy for acute myelogenous leukemia.急性髓性白血病的强化化疗
Ann Intern Med. 1981 Jun;94(6):753-7. doi: 10.7326/0003-4819-94-6-753.
3
High remission-induction rate in acute myeloid leukaemia.
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4
6-Thioguanine, cytarabine, and daunorubicin (TAD) and high-dose cytarabine and mitoxantrone (HAM) for induction, TAD for consolidation, and either prolonged maintenance by reduced monthly TAD or TAD-HAM-TAD and one course of intensive consolidation by sequential HAM in adult patients at all ages with de novo acute myeloid leukemia (AML): a randomized trial of the German AML Cooperative Group.6-硫鸟嘌呤、阿糖胞苷和柔红霉素(TAD)以及高剂量阿糖胞苷和米托蒽醌(HAM)用于诱导治疗,TAD用于巩固治疗,对于各年龄段初发急性髓系白血病(AML)的成年患者,采用每月减量的TAD进行长期维持治疗或TAD-HAM-TAD方案,以及通过序贯HAM进行一个疗程的强化巩固治疗:德国AML协作组的一项随机试验
J Clin Oncol. 2003 Dec 15;21(24):4496-504. doi: 10.1200/JCO.2003.02.133.
5
Definition of refractoriness against conventional chemotherapy in acute myeloid leukemia: a proposal based on the results of retreatment by thioguanine, cytosine arabinoside, and daunorubicin (TAD 9) in 150 patients with relapse after standardized first line therapy.急性髓系白血病中对传统化疗耐药的定义:基于150例标准化一线治疗后复发患者接受硫鸟嘌呤、阿糖胞苷和柔红霉素(TAD 9)再治疗结果的提议。
Leukemia. 1990 Mar;4(3):184-8.
6
Comparative study of cytosine arabinoside therapy alone and combined with thioguanine, mercaptopurine, or daunorubicin in acute myelocytic leukemia.阿糖胞苷单独治疗与联合硫鸟嘌呤、巯嘌呤或柔红霉素治疗急性髓细胞白血病的对比研究。
Cancer. 1975 Nov;36(5):1560-6. doi: 10.1002/1097-0142(197511)36:5<1560::aid-cncr2820360504>3.0.co;2-5.
7
[Difficulties of remission induction treatment of acute myeloblastic leukemia].
Sem Hop. 1974 May 26;50(25):1691-4.
8
Long-term follow-up of patients >or=60 yr old with acute myeloid leukaemia treated with intensive chemotherapy.对接受强化化疗的60岁及以上急性髓系白血病患者的长期随访。
Eur J Haematol. 2002 Jun;68(6):376-81. doi: 10.1034/j.1600-0609.2002.00423.x.
9
Prolonged survival in acute myelogenous leukaemia without maintenance chemotherapy.
Lancet. 1984 Apr 21;1(8382):894-6. doi: 10.1016/s0140-6736(84)91350-3.
10
[Comparison of the effects of cytosine arabinoside, cytosine arabinoside and thioguanine, and cytosine arabinoside and daunorubicin in acute myeloid leukemia].
Bull Cancer. 1974 Jul-Sep;61(3):411-8.

引用本文的文献

1
What Is the Best Daunorubicin Dose and Schedule for Acute Myeloid Leukemia Induction?治疗急性髓系白血病诱导缓解时,柔红霉素的最佳剂量和给药方案是什么?
Curr Treat Options Oncol. 2017 Jan;18(1):3. doi: 10.1007/s11864-017-0446-4.
2
Clofarabine Plus Low-Dose Cytarabine Is as Effective as and Less Toxic Than Intensive Chemotherapy in Elderly AML Patients.氯法拉滨联合小剂量阿糖胞苷在老年急性髓系白血病患者中与强化化疗疗效相当且毒性更低。
Clin Lymphoma Myeloma Leuk. 2016 Mar;16(3):163-8.e1-2. doi: 10.1016/j.clml.2015.11.016. Epub 2015 Nov 24.
3
Fas, Fas-associated death domain-like interleukin 1beta-converting enzyme-like inhibitory protein, and apoptotic features of elderly acute myeloid leukemia based on response to induction chemotherapy.
Int J Hematol. 2005 Nov;82(4):327-32. doi: 10.1532/IJH97.A30503.
4
Treatment concepts for elderly patients with acute myeloid leukemia.老年急性髓系白血病患者的治疗理念
Wien Klin Wochenschr. 2003 Aug 14;115(13-14):505-14. doi: 10.1007/BF03041034.
5
Mitoxantrone and cytosine arabinoside as treatment for acute myeloblastic leukemia in older patients.米托蒽醌和阿糖胞苷用于老年患者急性髓细胞白血病的治疗。
Ann Hematol. 1995 Jul;71(1):35-9. doi: 10.1007/BF01696230.
6
[Changes of therapy results in acute leukemia under different treatment schedules with special reference to gnotobiotic measures].
Klin Wochenschr. 1983 Apr 1;61(7):329-38. doi: 10.1007/BF01485023.
7
Adjuvant immune stimulation with Corynebacterium parvum during maintenance chemotherapy of acute myeloid leukemia. A prospective randomized study.微小棒状杆菌在急性髓系白血病维持化疗期间的辅助免疫刺激。一项前瞻性随机研究。
Cancer Immunol Immunother. 1983;16(2):88-92. doi: 10.1007/BF00199237.
8
Treatment of acute leukaemia with m-AMSA in combination with cytosine arabinoside.
Cancer Chemother Pharmacol. 1986;18(1):59-62. doi: 10.1007/BF00253066.
9
Treatment strategies in acute myeloid leukemia (AML). A. First-line chemotherapy.急性髓系白血病(AML)的治疗策略。A. 一线化疗。
Blut. 1990 Feb;60(2):61-7. doi: 10.1007/BF01720509.
10
The toxicity of cytarabine.阿糖胞苷的毒性。
Drug Saf. 1990 Jan-Feb;5(1):7-27. doi: 10.2165/00002018-199005010-00003.